Guillain Barr Syndrome Polyradiculitis

The Guillain-Barre syndrome (GBS) or Landry-Guillain-Barre-Strohl syndrome, also known as post-infectious polyneuropathy or acute idiopathic polyneuritis, is an acute acquired, frequently severe, monophasic autoimmune illness of the peripheral nervous system (PNS). GBS manifests itself with the clinical picture characterised by gait disturbance, pain, weakness, rapidly ascending symmetric flaccid muscle paralysis, areflexia with distal predominance (involving lower motor neuron), sensory disturbance, variable autonomic involvement, and increased cerebrospinal fluid protein without pleocytosis . Although GBS had previously been viewed as a unitary disorder with variations, it is today considered as a group of syndromes with several distinctive variants or subtypes. The aim of this book is to describe and discuss this disease that is not exactly rare but is almost the only inflammatory polyneuropathy and the most frequent cause of acute flaccid paralysis in general medical practice.

The period that followed World War II has witnessed a dramatic change in neurology. From being a discipline in which its partici pants were castigated for being interested solely in diagnosis, usually of disorders of unknown causation without effective therapy, neurology has evolved into a highly active treatment orientated subject. This transition is clearly reflected in the ap proach to diseases of the peripheral nervous system, and to the Guillain-Barre syndrome (GBS) in particular. In a state-of-the art review made in 1952, Elkington (1952) observed that no less than 56% of neuropathies remained undiagnosed, and amongst those of unknown causation he listed GBS. With intensive in vestigation and follow-up, the proportion of neuropathies seen at tertiary referral centres which elude diagnosis is now as little as 13% (McLeod et al. 1984). Overall, of course, the proportion is even less. This change is partly because of the introduction of new diagnostic techniques and partly because of the application of the great expansion in knowledge evident throughout medicine. In this book, Professor Richard Hughes has assembled current information on GBS and related disorders, including chronic in flammatory demyelinating polyneuropathy (CIDP), the existence of which was not appreciated until Austin's perspicacious study published in 1958. In the Introduction, Professor Hughes gives an account of the way in which recognition of the GBS emerged and matured, and shows that it followed, pari passu, with the realisation that paral ysis and sensory loss may result from peripheral nerve disorders.

Polyneuritis is an inflammation of the nerve roots. It affects mainly the motor nerves and has an ascending course. The aetiology is unknown. Remember the possibility of polyneuritis in a patient presenting with limb weakness or numbness. The patient is treated in a hospital where mechanical ventilator treatment is available.

Guillain-Barre Syndrome (GBS) is a disorder in which the body's immune system attacks part of the peripheral nervous system. Feelings of tingling and weakness increase in intensity until the muscles cannot be used at all and the patient is almost totally paralyzed. No one knows why Guillain-Barre strikes some people and not others, or what sets the disease in motion. What we do know is that GBS is now the most common cause of acute paralysis in Western countries since the virtual elimination of poliomyelitis with vaccination programs. Guillain-Barre Syndrome, co-authored by a survivor of this illness, addresses all aspects of this condition, including initial symptoms, diagnostic evaluation and criteria, general and illness specific treatments, and typical outcomes. Fortunately, most GBS patients have a good recovery, but the pathway to this goal can be slow and scary. This book covers a wide range of issues including: Features unique to GBS such as pain without injury and other abnormal sensations. Workplace adjustment with incomplete recovery Intensive care unit management Practical caregivers guidelines The rehabilitation process Sexual dysfunction, and much more Guillain-Barre Syndrome is a comprehensive book, written in lay terms, covering everything from diagnosis to emotional issues. It is a book that stands alone. This latest volume in the American Academy of Neurology Press Quality of Life Guide series is an essential tool for all individuals, families, and caregivers coping with Guillain-Barre Syndrome.

Clinicians draw on their personal experience and the medical literature to provide a comprehensive view of Guillain-Barre syndrome. The background section covers the history, diagnostic criteria, and epidemiology; other sections cover the neurobiological basis, clinical features, laboratory investigation and differential diagnosis, and treatment and rehabilitation. Especially noteworthy are the details of an approach to managing patients who need respiratory support, which has reduced mortality from 25% to 4% over the past couple decades. Annotation copyrighted by Book News, Inc., Portland, OR

This book is about three people from different walks of life, each of whom experienced a life-changing episode of Guillain-Barr Syndrome. Three dramatic stories in one. Firstly, a story of the Author's remarkable almost complete recovery following his encounter with the syndrome. It is a frank and personal account of his struggle to regain much of what he had lost in bodily function during one year of hospitalisation. It should provide inspiration and possibly answer so many questions typically asked by others afflicted with this syndrome. Secondly, case studies written by two co-author contributors, one a Calgary Veterinarian and mother of two, the other a retired Vancouver resident who was struck with Guillain-Barr Syndrome whilst shopping for a boat in England. "There is no single answer to the question as to how life may change after recovery from this disorder. Each case appears to be unique. That is why I have chosen to include, not just a record of my partial recovery, but also the recovery record of two additional people, each different from one another's and each certainly different from mine (Author's Preface)". "We eventually identified a boatonly three feet short of what we had wanted that was within our budget. At this point Heather's brother, who lived nearby, said he would like a share in the boat, to which we agreed. During this discussion in his house I had to ask him to refrain from smoking, as my throat was quite sore. I was feeling rather run down and often felt cold. About the same time on a Saturday, I felt a tingling in the finger tips of my left hand and found they were a bit swollen. I mentioned it to Heather, but it did not seem serious. It was, however, the first sign that I had contracted GBS. If only I had known, the treatment might have been started earlier! (Patrick Hill)" "Probably the worst face of Guillain-Barr Syndrome is the effect it has on loved ones. Severe, or not, chronic or not, it matters little to the supporting family at the bedside of a patient. Fear, puzzlement, and apprehension are all experienced by the loved ones. Reading the case histories of Sarah and Patrick, one learns how their spouses also suffered many frightening experiences, but in spite of all that, they remained obviously without second thought, hesitation or doubt. True to their marriage vows, they provided so much love, care and support. That was the shared experience among the three of us (Author: Epilogue)."

Part one of A First Step - Understanding Guillain-Barré Syndrome is a true, blow-by-blow account of the Author's encounter, as a healthy Canadian businessman, with a rare and devastating disease, Guillain-Barré Syndrome (G.B.S. for short). It describes his seven-month long struggle for life in 'Intensive Care' after receiving a grim prognosis, and his subsequent dogged determination to overcome the effects of that disease. The second part is devoted to short stories based on dreams and hallucinations experienced whilst he was in 'Intensive Care', which in themselves reveal something of what a patient was going through. They also serve to illustrate the narrow boundary between reality and the dream world, and which whilst making for entertaining reading, could possibly be the subject of further study. Although the Author is a layperson, in medical terms, it is believed this book will be an important aid to medical professionals and care-givers, providing as it does, new insights and a unique perspective on the effects, not only of the disease, Guillain-Barré Syndrome, but also of the handling and care of any long-term intensive care patient, and their subsequent rehabilitation. For the curious, it will answer many questions. For G.B.S. patients and their families it should provide inspirational reading. The foreword to the book has been written by Dr Frank Warshawski, MD, FRCPC, Director of Intensive Care, Rockyview General Hospital, Calgary. In addition to that prestigious involvement, the Author has been fortunate in receiving permission to use other material authored by exceptionally well qualified medical professionals, for which due credit is given in the 'Acknowledgements' section of the book, enabling him to produce not only an interesting publication, but an informative and educational one. In short, a 'must read' and deserving of a place on any medical bookshelf.

Guillain-Barre Syndrome (GBS) is a disorder in which the body's immune system attacks part of the peripheral nervous system. Feelings of tingling and weakness increase in intensity until the muscles cannot be used at all and the patient is almost totally paralyzed. No one knows why Guillain-Barre strikes some people and not others, or what sets the disease in motion. What we do know is that GBS is now the most common cause of acute paralysis in Western countries since the virtual elimination of poliomyelitis with vaccination programs. Guillain-Barre Syndrome, co-authored by a survivor of this illness, addresses all aspects of this condition, including initial symptoms, diagnostic evaluation and criteria, general and illness specific treatments, and typical outcomes. Fortunately, most GBS patients have a good recovery, but the pathway to this goal can be slow and scary. This book covers a wide range of issues including: Features unique to GBS such as pain without injury and other abnormal sensations Workplace adjustment with incomplete recovery Intensive care unit management Practical caregivers guidelines The rehabilitation process Sexual dysfunction, and much more Guillain-Barre Syndrome is a comprehensive book, written in lay terms, covering everything from diagnosis to emotional issues. It is a book that stands alone. This latest volume in the American Academy of Neurology Press Quality of Life Guide series is an essential tool for all individuals, families, and caregivers coping with Guillain-Barre Syndrome.